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That, of course, leaves a lot of a weird middle ground. Doctors can’t be prosecuted for giving you a recommendation for marijuana to alleviate your multiple sclerosis, for example, but you can still get fired from your job if you come up positive in a drug test.

Maryland’s not exactly leading the charge in legalizing medical marijuana. The first time sanctioning cannabis was suggested in Maryland was 1979, but it took years for the cultural zeitgeist to get to a point where the state legislature was ready to join the 18 states (plus the District of Columbia) that have legalized medical marijuana since 2013. That same year, Maryland made cannabis available to teaching hospitals, though none participated. But public opinion backed yet more change: A spring 2014 Goucher College poll showed that 90 percent of Marylanders support the use of the drug for medical purposes, and more legislation passed with bipartisan support last summer.

“Medical cannabis got caught up in the epic war on drugs. Let’s remove the sick from the battlefield.”

But it’s not the panacea it might seem for patients like Moore’s boys: The implications of the new legislation are complicated and imperfect because of discrepancies in federal and state laws—and because of widespread misconceptions about the medical variety of marijuana.

Byron, a former administrator at the Department of Business and Economic Development, says anyone who is concerned that Maryland is suddenly going to look like Amsterdam on a holiday weekend doesn’t understand what medical cannabis is—and isn’t.

“I believe it saved their lives,” says Moore of her boys. “And because it did, I became very driven to make sure that others could be treated with cannabis, which will give us more options.”